All citations for Tri State Health and Rehabilitation Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Tri State Health and Rehabilitation Center

Last standard health inspection on record

December 17, 2025

Showing 1 to 23 of 23 citations

  1. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 19, 2024).

  2. Immediate jeopardy to resident health or safety

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 19, 2024).

  3. Immediate jeopardy to resident health or safety

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0835, Administration Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 19, 2024).

  4. Immediate jeopardy to resident health or safety

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0837, Administration Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 19, 2024).

  5. Immediate jeopardy to resident health or safety

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0867, Administration Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 19, 2024).

  6. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

  7. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2026).

  8. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

  9. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of December 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2020).

  10. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 19, 2024).

  11. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 19, 2024).

  12. No harm, with potential for more than minimal harm

    Protect each resident from the wrongful use of the resident's belongings or money.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 17, 2025. Found during a standard inspection and a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 21, 2025).

  13. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2026).

  14. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2026).

  15. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2026).

  16. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0521, Services Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

  17. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 19, 2024).

  18. No harm, with potential for more than minimal harm

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of August 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2023).

  19. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

  20. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2023).

  21. No harm, with potential for more than minimal harm

    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0700, Miscellaneous Deficiencies. Inspection of August 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2023).

  22. No harm, with potential for more than minimal harm

    Provide properly sized and located linen or trash receptacles.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0754, Miscellaneous Deficiencies. Inspection of August 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2023).

  23. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of December 10, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2019).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.